Wastewater Testing and Detection of Poliovirus Type 2 Genetically Linked to Virus Isolated from a Paralytic Polio Case — New York, March 9–October 11, 2022
Authors: A. Blythe Ryerson, Daniel Lang, Mohammed A. Alazawi, Milagros Neyra, Dustin T. Hill, Kirsten St. George, Meghan Fuschino, Emily Lutterloh, Bryon Backenson, Samuel Rulli, Patricia Schnabel Ruppert, Jacqueline Lawler, Nancy McGraw, Andrew Knecht, Irina Gelman, Jane R. Zucker, Enoma Omoregie, Sarah Kidd, David E. Sugerman, Jaume Jorba, Nancy Gerloff, Terry Fei Fan Ng, Adriana Lopez, Nina B. Masters, Jessica Leung, Cara C. Burns, Janell Routh, Stephanie R. Bialek, M. Steven Oberste, Eli S. Rosenberg, Bridget J. Anderson, Noelle Anderson, Jed A. Augustine, Megan Baldwin, Kelly Barrett, Ursula Bauer, Andrew Beck, Hanen Belgasmi, Lydia J. Bennett, Achal Bhatt, Debra Blog, Heather Boss, Isaac Ravi Brenner, Barrett Brister, Travis Wayne Brown, Tavora Buchman, James Bullows, Kara Connelly, Blaise Cassano, Christina J. Castro, Cynthia Cirillo, George Edward Cone, Janine Cory, Amina Dasin, Adina de Coteau, Anny DeSimone, Francoise Chauvin, Cynthia Dixey, Kathleen Dooling, Shani Doss, Christopher Duggar, Christopher N. Dunham, Delia Easton, Christina Egan, Brian D. Emery, Randall English, Nicola Faraci, Hannah Fast, G. Stephanie Feumba, Nancy Fischer, Stephen Flores, Ann D. Frolov, Halle Getachew, Brittany Gianetti, Alejandro Godinez, Todd Gray, William Gregg, Christina Gulotta, Sarah Hamid, Tiffany Hammette, Rafael Harpaz, Lia Haynes Smith, Brianna Hanson, Elizabeth Henderson, Eugene Heslin, Alexandra Hess, Dina Hoefer, Jonathan Hoffman, Lyndsey Hoyt, Scott Hughes, Anna Rose Hutcheson, Tabassum Insaf, Christopher Ionta, Stacey Jeffries Miles, Anita Kambhampati, Haley R. Kappus-Kron, Genevieve N. Keys, Michael Kharfen, Gimin Kim, Jenna Knox, Stephanie Kovacs, Julie Krauchuk, Elisabeth R. Krow-Lucal, Daryl Lamson, Jennifer Laplante, David A. Larsen, Ruth Link-Gelles, Hongmei Liu, James Lueken, Kevin Ma, Rachel L. Marine, Karen A. Mason, James McDonald, Kathleen McDonough, Kevin McKay, Eva McLanahan, Eric Medina, Haillie Meek, Gul Mehnaz Mustafa, Megan Meldrum, Elizabeth Mello, Jeffrey W. Mercante, Mandar Mhatre, Susan Miller, Natalie Migliore, Neida K. Mita-Mendoza, Amruta Moghe, Nehalraza Momin, Tanner Morales, E. Joe Moran, Grace Nabakooza, Dana Neigel, Simon Ogbamikael, Jason O’Mara, Stephanie Ostrowski, Manisha Patel, Prabasaj Paul, Atefeh Paziraei, Georgina Peacock, Lauren Pearson, Jonatha Plitnick, Alicia Pointer, Michael Popowich, Chitra Punjabi, Rama Ramani, Shailla J. Raymond, Lindsey Rickerman, Erik Rist, Angela C. Robertson, Shannon L. Rogers, Jennifer B. Rosen, Cecelia Sanders, Jeanne Santoli, Leanna Sayyad, Lynsey Schoultz, Matthew Shudt, Justin Smith, Theresa L. Smith, Maria Souto, Ashleigh Staine, Shannon Stokley, Hong Sun, Andrew J. Terranella, Ashley Tippins, Farrell Tobolowsky, Megan Wallace, Steve Wassilak, Amanda Wolfe, Eileen Yee
Journal: MMWR Morbidity and Mortality Weekly Report (2022)

§ A VDPV is a strain related to the attenuated live poliovirus contained in OPV.VDPV2s are OPV virus strains that are >0.6%divergent (or at least six nucleotide changes) from the OPV2 strain in the complete VP1 genomic region.https://polioeradication.org/wp-content/uploads/2016/09/ Reporting-and-Classification-of-VDPVs_Aug2016_EN.pdf ¶ The term PV2, referring to all serotype 2 polioviruses, is used throughout the report to indicate either a confirmed VDPV2 or a type 2 Sabin-like virus that is genetically related to the Rockland County patient.A Sabin-like poliovirus is a poliovirus that is related to one of the Sabin vaccine strains and whose nucleotide sequence in the genome region encoding the VP1 capsid protein differs from the related Sabin strain by 0-5 nucleotides for type 2 or by 0-9 nucleotides, for types 1 and 3. ** Wastewater, also referred to as sewage, includes water from household or building use (e.g., toilets, showers, and sinks) that can contain human fecal waste and water from nonhousehold sources (e.g., rain and industrial use); it does not include open drains or potable water.https://www.cdc.gov/healthywater/surveillance/wastewater-surveillance/wastewater-surveillance.html#how-wastewater-surveillance-works † † https://www.cdc.gov/acute-flaccid-myelitis/index.htmlreaction equipment for public health testing purposes from QIAgen.Nancy McGraw reports an uncompensated leadership in the New York State Association of County Health Officials.